Psychosocial factors related to depressive disorders in adult women of the Chiloé Island
DOI:
https://doi.org/10.31052/1853.1180.v12.n1.7147Keywords:
depression, psychosocial factorsAbstract
This study aims at assessing the possible relationship of life events, social support and depressive disorders, and the possible mediating effect of this microsocial variables on the association of depression to childhood traumatic experiences and educational level.
Ours is a transversal study on a probabilistic population sample consisting of 153 adult women aged 18 to 64 years, who reside at the Isla Grande de Chiloé, X Region of Chile, based on a survey conducted at home.
A direct relationship was detected between the number of life events of the last 12 months and the depressive disorders. Social support is related to depression through an interaction with the number of life events. Educational level is related to both microsocial variables in an independent way. Traumatic childhood experiences are related to a higher number of life events in adulthood, but not to social support.
Results agree with predictions based on stress theory an on the buffer theory of social support. A reasonable hypothesis is that educational level – a macrosocial variable– influences people’s health through microsocial variables.
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References
1.World Health Organization. Informe sobre la Salud enel Mundo. Salud Mental: nuevos conocimientos, nuevasesperanzas. 2001. WHO.
2.Ûstûn TB. The Global Burder of Mental Disorders. AmJ Public Health 1999; 89: 1315 – 1318.3.Katon W, Sullivan MD. Depression and chronic medicalillness. J Clin Psychiatry 1990; 51 (suppl.):3 – 11.
4.Penninx B, Geerlings S, Deeg D, van Eijk J, van TilburgW, Beekman A. Minor and mayor depression and the risk ofdeath in older persons. Arch Gen Psychiatry 1999; 56: 889 –895.
5.Wells KB, Stewart A, Hays RD, Burnam A, Rogers W,Daniels M, Berry S, Greenfield Sh, Ware J. The functioningand well – being of depressed patients. Results fron the MedicalOutcomes Study. JAMA 1989; 269: 914 – 919.
6.Alvarado R, Numhauser J. Prevalencia de cuadrosdepresivos en mujeres adultas de la Isla de Chiloé y factoresasociados. Rev Chil Salud Pública 2004; 8 (1): 7 - 17.
7.Vicente B, Kohn R, Rioseco P, Saldivia S, Baker C &Torres S. Population prevalence of psychiatric disorders in Chile:6-month and 1-month rates. Br J Psychiatry 2004; 184: 299 –305.
8.Sullivan PF, Neale MC, Kendler KS. Geneticepidemiology of mayor depression: review and meta – analysis.Am J Psychiatry 2000; 157 (10): 1552 – 1562.
9.Roy A. Five risk factors for depression. Br J Psychiatry1987; 150: 536 – 541.
10.MacMillan HL, Fleming JE, Streiner DL, Lin E, BoyleMH, Jamieson E, Duku EK, Walsh CA, Wong MY, BeardsleeWR. Childhood abuse and lifetime psychopathology in acommunity sample. Am J Psychiatry. 2001; 158: 1878 – 1883.
Revista de Salud Pública, 2 (1): 8-16, junio 2008R. ALVARADO, J. NUMBAUSHER, A. VEGA I I I I I Factores psicosociales y cuadros depresivos16
11.Goldberg D. Vulnerability factors for common mental illnesses. Br J Psychiatry 2001;178 (suppl. 40): 69 – 71.
12.van Os J, Park SB, Jones PB. Neuroticism, life events and mental health: evidence forperson – environment correlation. Br J Psychiatry 2001; 178 (suppl. 40): 72 – 77.
13.Strickland PL, Williams Deakin JF, Percival C, Dixon J, Gater RA, Goldberg DP. Bio– social origins of depression in the community. Interactions between social adversity, cortisoland serotonin neurotransmission. Br J psychiatry 2002; 180: 168 – 173.
14.Kendler KS, Karkowski LM, Prescott CA. Causal relationship between stressful lifeevents and the onset of major depression. Am J Psychiatry 1999; 156 (6): 837 – 841.
15.Kendler KS, Kessler RC, Neale MC, Heath AC, Eaves LJ. The prediction of MajorDepression in Women: Toward an integrated etiologic model. Am J Psychiatry 1993; 150 (8):1139 – 1148.
16.Dalgard OS, Bjørk S, Tambs K. Social support, negative life events and mental health.Br J Psychiatry 1995; 166: 29 – 34.
17.Lorant V, Deliege D, Eaton W, Robert A, Philippot P & Ansseau M. Socioeconomicinequalities in depression: a meta – analysis. Am J Epidemiol 2003; 157: 98 – 112.
18.Numhauser J, Alvarado R, Soto P, Hermosilla J, Vera A. Eventos traumáticos en lainfancia y depresión en la vida adulta, en una muestra comunitaria de mujeres de la Isla deChiloé. Revista de Psiquiatría y Salud Mental 2004; 21 (2-3): 90 - 98.
19.Alvarado R, Vera A, Toledo MI, Serrano F, Gatica CG, Núñez C, Godoy S, Soto O,Alfaro J, Asún D. Validación de Escalas para medir Trastornos Depresivos, por Ansiedad ySomatoformes. Cuadernos de Psicología Nº 2, Universidad Diego Portales. Santiago, Chile.1992.
20.Alvarado R, Asún D, Alfaro A, Vera A y cols. Comparación de variables psicosocialesentre un grupo con trastornos emocionales y uno control. Rev Psiquiatría 1992; 9: 1141 – 1152.
21.Páez D. Suceso vital, soporte social, recursos e identidades sociales como factoresexplicativos de la depresión y ansiedad. En: Páez D, eds. Salud Mental y Factores Psicosociales.España: Editorial Fundamentos, 1986. Pp. 83 – 127.
22.Cohen P et al. Prospective associations between somatic illness and mental illness fromchildhood to adulthood. Am J Epidemiol 1998; 147: 232 – 239.
23.Gilman SE et al. Family disruption in childhood and risk of adult depression. Am JPsychiatry 2003; 160: 939 – 946.
24.Thompson E. Corporal punishment by parents and associated child behaviors andexperiences: a meta-analytic and theoretical review. Psychol Bull 2002; 128: 539 – 579.
25.Paykel ES. Life events and affective disorders. Acta Psychiatr Scand 2003; 108 (suppl418): 61 – 66.
26.Rojo Moreno L et al. The role of stress in the onset of depressive disorders. A controlledstudy in a Spanish clinical sample. Soc Psychiatry Psyxhiatr Epidemiol 2002; 37: 592 – 598.
27.Cohen S & Ashby T. Stress, social support and the buffering hipótesis. Psicol Bull 1985;98: 310 – 357.
28.Alvarado R, Sanhueza G, Muñoz MG, Vega J. Necesidades clínicas y psicosociales enmujeres que ingresan al Programa para el Tratamiento Integral de la Depresión en AtenciónPrimaria, en Chile. Revista de Psiquiatría y Salud Mental 2004; 21 (2-3): 90 – 98.
29.Lazarus R. Estres y emoción: manejo e implicancias en nuestra salud. Ed. Desclée deBrouwer, 2000. Bilbao, España.
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